Background The role of platelets in the development of vascular
inflammation and endothelial dysfunction in the pathogenesis of
hypertension is well established at this time.
Aspirin is known to relieve
pain, decrease
fever, reduce
inflammation, impair platelet aggregation, and prevent clotting, yet its effect in the context of
salt-sensitive
hypertension remains unclear. The present study investigated the importance of
aspirin in inhibiting the abnormal activation of platelets and promoting the normal function of the vascular endothelium in a rat model of
salt-sensitive
hypertension. Method and Results Dahl salt-sensitive rats and
salt-resistant rats were fed a normal-
salt diet (4% NaCl), a high-
salt diet (8% NaCl), or a high-
salt diet with
aspirin gavage (10 mg/kg per day) for 8 weeks. Blood pressure, platelet activation, vascular function, inflammatory response, and potential mechanism were measured. Low-dose
aspirin (10 mg/kg per day) decreased the high-
salt diet-induced elevation of blood pressure, platelet activation, leukocyte infiltration, and leukocyte-platelet aggregation (CD45+CD61+), as well as vascular endothelial and renal damage. These effects were related to the ability of
aspirin to prevent the adhesion of leukocytes to endothelial cells via inhibition of the platelet
cyclooxygenase 1 but not the
cyclooxygenase 2 pathway.
Aspirin also reversed the high-
salt diet-induced abnormal activation of
complement and coagulation cascades in platelets. Conclusions These results highlight a new property of
aspirin in ameliorating vascular endothelial dysfunction induced by platelet activation, which may be beneficial in the treatment of
salt-sensitive
hypertension.